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Name
*
First
Last
Email
*
Zip Code
*
ZIP / Postal Code
I am a spouse of a(n)
*
Please select one
Active Duty Service Member
Veteran
National Guard or Reserve Member
Transitioning Service Member
Spouse's Service Branch
*
Please select one
U.S. Army
U.S. Air Force
U.S. Coast Guard
U.S. Marine Corps
U.S. Navy
Army National Guard
Air National Guard
U.S. Space Force
Rank
*
Please select one
E1
E2
E3
E4
E5
E6
E7
E8
E9
O1
O2
O3
O4
O5
O6
O7
O8
O9
O10
W1
W2
W3
W4
W5
Highest Level of Education
*
Please select one
Associate
Bachelor's
Master's
Doctorate
High School Diploma/GED
Some College
Which MSPN Network are you currently affiliated with or would like to be affiliated with?
*
Please select an MSPN Network
Arizona - Fort Huachuca
Arizona - Davis Monthan
Arizona - Luke AFB
Alabama - Fort Rucker
California - Camp Pendleton
California - San Diego
California - San Francisco/Silicon Valley
California - Travis AFB
Colorado - Colorado Springs
Florida - Eglin/Hurlburt
Florida - Jacksonville
Florida - MacDill AFB/Tampa
Florida - Space Coast
Georgia - Fort Gordon
Georgia - Fort Stewart/Hunter
Georgia - Robins AFB
Hawaii - Hawaii
Illinois - Great Lakes
Kentucky - Fort Campbell/Clarksville
Kansas - Fort Leavenworth
Louisiana - Fort Polk
Mississippi - Gulfport/Biloxi
Nebraska - Offutt AFB
Nevada - Nevada
New Mexico - Cannon (Clovis) AFB
New Mexico - Holloman/White Sands Missile Range
New Mexico - Kirtland AFB
New Jersey - Joint Base McGuire-Dix-Lakehurst (JBMDL)
North Carolina - Camp Lejeune/MCAS New River
North Carolina - Cherry Point
North Carolina - Fort Bragg/Fayetteville
North Carolina - University of North Carolina - Wilmington
Ohio - Wright-Patterson AFB (WPAFB)
Puerto Rico - Puerto Rico/USVI
Tennessee - NSA Mid-South
Texas - Corpus Christi/Kingsville
Texas - Dallas/Fort Worth
Texas - Fort Bliss
Texas - Fort Hood
Texas - Goodfellow AFB
Texas - Joint Base San Antonio (JBSA)
Texas - Sheppard AFB
Utah - Hill AFB
Virginia - Hampton Roads
Virginia - Fort Lee
Washington - Joint Base Lewis-McChord (JBLM)
Washington DC - National Capital Region (NCR)
Bahrain - Bahrain
Guam - Guam
Germany - Stuttgart
Germany - Kaiserlautern (KMC)
Italy - Naples
Japan - Okinawa
Japan - Yokota
South Korea - South Korea
Spain - Rota
No Affiliation - Virtual Group
Are you currently employed?
*
Yes
No
Current company name:
Industry
Please select one
Administration
Automotive
Construction
Cyber / IT
Defense Contracting
Education
Engineering
Finance / Investment Banking
Gas / Oil / Renewable Energy
General Management
Healthcare / Medical
Hospitality
Human Resources
Logistics / Supply Chain
Operations
Project Management
Real Estate
Sales
Other
Your Income
*
Please select one
$1 - $999
$1,000 - $9,999
$10,000 - $19,999
$20,000 - $29,999
$30,000 - $39,999
$40,000 - $49,999
$50,000 - $59,999
$60,000 - $69,999
$70,000 - $79,999
$80,000 - $89,999
$90,000 - $99,999
$100,000 - $119,999
$120,000 - $149,999
$150,000+
Prefer not to answer
N/A
Total Household Income (including all military allowances)
*
Please select one
$1 - $999
$1,000 - $9,999
$10,000 - $19,999
$20,000 - $29,999
$30,000 - $39,999
$40,000 - $49,999
$50,000 - $59,999
$60,000 - $69,999
$70,000 - $79,999
$80,000 - $89,999
$90,000 - $99,999
$100,000 - $119,999
$120,000 - $149,999
$150,000+
Prefer not to answer
Are you willing to be connected with our trusted Military Spouse Economic Empowerment Zone (MSEEZ) working group partners in your community?
*
Yes
No
Note: Only your name and email address will be shared with partners so they can contact you regarding events and/or opportunities in your local community.
Demographic Information
This information helps us better understand our audience.
Age
*
Please select one
18-21
22-29
30-39
40-49
50+
Gender
*
Please select one
Male
Female
Prefer not to answer
Race/Ethnicity
*
Please Select One
Hispanic or Latino
White (Not Hispanic or Latino)
Black or African American (Not Hispanic or Latino)
Native Hawaiian or Pacific Islander (Not Hispanic or Latino)
Asian (Not Hispanic or Latino)
Native American or Alaska Native (Not Hispanic or Latino)
Two or more races (Not Hispanic or Latino)
I do not wish to disclose.
Race/Ethnicity Multiple Selection
*
Hispanic or Latino
White (Not Hispanic or Latino)
Black or African American (Not Hispanic or Latino)
Native Hawaiian or Pacific Islander (Not Hispanic or Latino)
Asian (Not Hispanic or Latino)
Native American or Alaska Native (Not Hispanic or Latino)
I do not wish to disclose.